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1. Medication errors common for hospital diabetes. | PSNet
   psnet.ahrq.gov/issue/medication-errors-common-hospital-diabetes
   May 13, 2009 - Newspaper/Magazine Article Medication errors common for hospital diabetes. … 2019 Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … July 6, 2011 Unintentional therapeutic errors involving insulin in the ambulatory setting … March 16, 2011 Insulin treatment as a tracer for identifying latent patient safety risks … in home-based diabetes care.

2. Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care. | PSNet
   psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based-diabetes-care
   September 28, 2010 - Study Insulin treatment as a tracer for identifying latent patient safety risks in … home-based diabetes care. … Citation Text: Insulin treatment as a tracer for identifying latent patient safety risks in home-based … diabetes care. … as a tracer for identifying latent patient safety risks in home-based diabetes care.

3. Hospital-Acquired Diabetic Ketoacidosis. | PSNet
   psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
   November 30, 2023 - He was seen by an orthopedic surgeon and was admitted for treatment of infection and hyperglycemia. … An insulin drip was started for treatment of DKA. … Treatment continued for his thumb cellulitis. … with long-standing type 2 diabetes, insulin is the primary therapy. … Communicate with patients and caregivers about the goals of therapy and insulin dosing, especially around

4. Therapeutic errors involving diabetes medications reported to United States poison centers. | PSNet
   psnet.ahrq.gov/issue/therapeutic-errors-involving-diabetes-medications-reported-united-states-poison-centers
   September 27, 2023 - Study Therapeutic errors involving diabetes medications reported to United States … Therapeutic errors involving diabetes medications reported to United States poison centers. … Therapeutic errors involving diabetes medications reported to United States poison centers. … January 26, 2011 Insulin treatment as a tracer for identifying latent patient safety … risks in home-based diabetes care.

5. An overlooked condition. | PSNet
   psnet.ahrq.gov/issue/overlooked-condition
   October 03, 2018 - In this article, the CEO of the American Diabetes Association comments on the risks diabetes patients … October 3, 2018 Association of adverse effects of medical treatment with mortality in … of age and is commonly treated as type 2 diabetes. … 2018 Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … April 23, 2014 Medication errors common for hospital diabetes.

6. Are Two Insulin Pumps Better Than One? | PSNet
   psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
   March 01, 2005 - Given the time and treasure many patients invest in becoming educated in CSII treatment, they may become … Until recently, there has been very little information about how patients on outpatient CSII treatment … women, and 91% had type 1 diabetes. … to the substitution of CSII with physician-managed standard insulin treatment. … in type 1 diabetes.

7. Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. | PSNet
   psnet.ahrq.gov/issue/prevalence-and-predictors-delayed-clinical-diagnosis-type-2-diabetes-longitudinal-cohort
   August 04, 2021 - Study Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: … Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study … experienced at least a 1-year delay before a diabetes diagnosis was added to their chart. … The authors suggest automated tools to facilitate earlier diabetes diagnosis and treatment. … Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study

8. Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. | PSNet
   psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-adults-living-diabetes-mellitus-scoping-review
   November 02, 2022 - Review Potentially inappropriate prescribing for adults living with diabetes mellitus … Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. … omission, incorrect dosing , drug-drug interaction, inappropriate drug selection, and unnecessary drug therapy … Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. … October 13, 2021 Training in safe opioid prescribing and treatment of opioid use disorder

9. E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. | PSNet
   psnet.ahrq.gov/issue/e-prescribing-and-adverse-drug-events-observational-study-medicare-part-d-population-diabetes
   September 30, 2015 - E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes … Hypoglycemia is a common and severe adverse drug event among patients with diabetes. … This retrospective study of claims data found that Medicare patients with diabetes were less likely to … August 28, 2019 Improving adherence to long-term opioid therapy guidelines to reduce … May 19, 2021 What works in medication reconciliation: an on-treatment and site analysis

10. Patient safety systems in the primary health care of diabetes—a story of missed opportunities? | PSNet
    psnet.ahrq.gov/issue/patient-safety-systems-primary-health-care-diabetes-story-missed-opportunities
    March 28, 2011 - Review Patient safety systems in the primary health care of diabetes—a story of missed … Patient safety systems in the primary health care of diabetes—a story of missed opportunities? … This study found little research on safety improvement methods in the primary care of diabetes. … Patient safety systems in the primary health care of diabetes—a story of missed opportunities? … 2014 Root cause analysis reports help identify common factors in delayed diagnosis and treatment

11. Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx (pdf file)
    psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
    January 01, 2020 - management • Management of diabetic ketoacidosis requires close attention and rapid titration of therapy … Hypomagnesemia in Type 2 Diabetes: A Vicious Circle? Diabetes. 2016;65(1):3-13. 3. … Hypomagnesemia in Patients with Type 2 Diabetes. … Hyperglycemic crises in adult patients with diabetes. Diabetes Care. 2009;32(7):1335-1343. 6. … Diagnostics and treatment of the diabetic foot. Endocrine. 2012;41(3):384-397. 12.

12. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest | PSNet
    psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
    February 01, 2023 - ketoacidosis, a condition that requires rapidly shifting priorities and goals, should be a backbone of therapy … management of hyperglycemia, and electrolyte repletion often require close attention and rapid titration of therapy … This will likely streamline the treatment of the medical problems.  … Hypomagnesemia in patients with type 2 diabetes.  … Diagnostics and treatment of the diabetic foot.  Endocrine . 2012;41(3):384-397. 

13. Challenges of Diabetes Management and Medication Reconciliation | PSNet
    psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
    March 15, 2023 - Also, an individualized diabetes care plan and education on the appropriate use of insulin therapy at … In a retrospective cohort analysis of 31,689 patients with diabetes, having some or all versus no diabetes … at-risk patients and there is emerging evidence that supports multidisciplinary interventions including treatment … An on-treatment analysis of the MARQUIS study: interventions to improve inpatient medication reconciliation … Resources From the Same Author(s) WebM&M Cases Duplicate Therapies

14. Artificial intelligence will improve medical treatments. | PSNet
    psnet.ahrq.gov/issue/artificial-intelligence-will-improve-medical-treatments
    February 06, 2019 - Newspaper/Magazine Article Artificial intelligence will improve medical treatments … Citation Text: Artificial intelligence will improve medical treatments. The Economist. … Smart technology, safety and therapeutic relationships. … July 12, 2017 The challenges of electronic health records and diabetes electronic prescribing … Information Professionals Medicine Epidemiology of Errors and Adverse Events Computer-Assisted Therapy

15. Too Tight Control | PSNet
    psnet.ahrq.gov/web-mm/too-tight-control
    March 20, 2013 - More recently, intensive IV insulin therapy is being used in post-surgical patients for whom diabetes … Secondly, clinicians may administer therapies to patients who would have been excluded from trials.( … , or unnecessary treatment. … Intensive insulin therapy in the critically ill patients. … Infection and diabetes: the case for glucose control.

16. One ACE Too Many | PSNet
    psnet.ahrq.gov/web-mm/one-ace-too-many
    June 21, 2016 - The Case A 72-year-old man with coronary artery disease, diabetes, and recently diagnosed congestive … heavily influenced by multiple factors, including the dose of the offending drug(s), use of concomitant therapies … A patient with left ventricular systolic dysfunction and diabetes who is receiving a maximal dose of … The obvious downsides of this approach are the delay to treatment and the possibility that the therapy … Diabetes may be independent risk factor for hyperkalaemia. BMJ. 2003;327:812. [go to PubMed] 4.

17. AACE Patient Safety Exchange. | PSNet
    psnet.ahrq.gov/issue/aace-patient-safety-exchange
    April 22, 2020 - Web site provides evidence-based patient safety information for clinicians who treat patients with diabetes … identified by a novel electronic medical record diabetes screening program in an urban emergency department … 2018 Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … February 12, 2014 Discontinuation of antihyperglycemic therapy after acute myocardial … September 30, 2012 Unintentional therapeutic errors involving insulin in the ambulatory

18. Spotlight Case [MONTH] 2003 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.60_slideshow.ppt
    May 01, 2004 - results of clinical trials Case: Too Much of a Good Thing A 28-year-old man with insulin-dependent diabetes … Infection and diabetes: the case for glucose control. … Quality Improvement Measure Most quality improvement efforts focused on the “underuse” of effective therapies … Conventional Treatment (%) Intensive Treatment (%) > 14 days ICU 15.7% 11.4% > 14 days ventilator … (%) Intensive Treatment (%)

19. Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. | PSNet
    psnet.ahrq.gov/issue/misadministration-iv-insulin-associated-dose-measurement-and-hyperkalemia-treatment
    August 24, 2016 - Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … Citation Text: Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … Citation Text: Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … July 6, 2011 Medication errors common for hospital diabetes.

20. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. | PSNet
    psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
    June 28, 2023 - replacement with intravenous fluid, correction of electrolyte abnormalities, and intravenous insulin therapy … multidisciplinary, bringing together professionals from different fields to determine and deliver patients’ treatment … BUN-to-creatinine ration of 15 Background : She is 6 weeks pregnant and in DKA Assessment : Oral therapy … Treatments for hyperemesis gravidarum and nausea and vomiting in pregnancy: a systematic review. … December 20, 2023 Teamwork is associated with reduced hospital staff burnout at military treatment